Healthcare IT Blog

A New Era for Lab Billing Technology Laboratory billing has always been complex, but in 2026, the landscape will demand even more precision. Between payer rule changes, the continued expansion of molecular diagnostics, and tighter compliance requirements, labs can no longer afford “good enough” billing systems.

Why the Right Billing Partner Matters Running a successful laboratory is about more than producing accurate test results. Behind the scenes, the financial health of your lab depends on whether claims are submitted correctly, denials are prevented, and reimbursements flow consistently. The reality is that many labs don’t have the internal resources to manage this complexity at scale. That’s where a laboratory billing company comes in.

Presented by ADS and ADSRCM, leading sources of services and automated systems for Orthopedics.

With personal injury patients (PIPs), every case has two timelines: the legal journey toward settlement and the financial journey toward full reimbursement. Managing the revenue cycle in PIP cases means ensuring that every service provided, every expense incurred, and every authorization obtained is tracked and billed accurately — from the day of the accident to the day funds hit your account.

Claim denials, delayed reimbursements, and administrative bottlenecks are among the most frustrating challenges for orthopedics and really, any practice with PIPs. Each denial not only delays payment but often represents additional staff time and resources spent on appeals.

Workers’ Compensation (WC) billing is one of the most detail-driven, regulation-heavy segments of medical and legal revenue cycle management (RCM). It demands precision, organization, and an ability to track complex data points over potentially long case timelines.

Orthopedic practices are often on the front line of treating personal injury patients (PIP), workers’ compensation (WC), and no-fault (NF) cases. From fractures to complex spinal surgeries, these cases frequently involve high-value procedures and extended treatment plans.

Lab directors know the pressure. Reimbursement rates are falling, denials are rising, and the administrative load of keeping a lab financially healthy grows heavier each year. The right laboratory billing solutions don’t just handle claims—they actively improve the lab’s financial performance, compliance posture, and operational efficiency.

Managing a psychiatric practice means juggling clinical care, documentation, patient engagement, and a complex billing process that often feels like a second full-time job.

As we hit the midpoint of 2025, laboratories across the country are facing a critical question: